Evidence map›Paper›PMID 20581168›Full record

ArticleAmerican journal of respiratory and critical care medicine2010

Somatic chromosome abnormalities in the lungs of patients with pulmonary arterial hypertension.

Micheala A Aldred, Suzy A Comhair, Marileila Varella-Garcia, Kewal Asosingh, Weiling Xu, George P Noon, Patricia A Thistlethwaite, Rubin M Tuder, Serpil C Erzurum, Mark W Geraci and 1 more

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 1 pooled it
8.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 1 synthesis or guideline pooled it, 146 citations in OpenAlex.

  1. Pooled it
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  10. Emerging role of exosomes in vascular diseases.Frontiers in cardiovascular medicine · 2023
    Review
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  15. Article
  16. Article
  17. Article
  18. Metabolism in Pulmonary Hypertension.Annual review of physiology · 2021
    Review
  19. Article
  20. Review

40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Micheala A AldredGenomic Medicine Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA. aldredm@ccf.org
Suzy A Comhair
Marileila Varella-Garcia
Kewal Asosingh
Weiling Xu
George P Noon
Patricia A Thistlethwaite
Rubin M Tuder
Serpil C Erzurum
Mark W Geraci
Christopher D Coldren
Cleveland Clinic · USUniversity of Colorado Denver · USBaylor College of Medicine · USPulmonary and Critical Care Associates · USUniversity of California San Diego · USUniversity of Colorado Cancer Center · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Nitric Oxide in Pulmonary HypertensionR37HL060917 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI ERZURUM, SERPIL C. · 2009 to 2018
$3.9M
Prostacyclin Synthase and Receptors in Pulmonary Arterial HypertensionR01HL089508 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI GERACI, MARK W · 2008 to 2011
$684k
Genome-wide map of Genetic Alteration in Human Pulmonary Hypertension LungsR21HL094927 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI COLDREN, CHRISTOPHER D · 2009 to 2010
$421k
NCRR NIH HHS UL1RR024989NHLBI NIH HHS R01 HL089508NHLBI NIH HHS R21 HL094927NHLBI NIH HHS R21HL094927NHLBI NIH HHS R37 HL060917NHLBI NIH HHS R37HL060917
6 · The paper itself

Abstract

rationaleVascular remodeling in pulmonary arterial hypertension (PAH) involves proliferation and migration of endothelial and smooth muscle cells, leading to obliterative vascular lesions. Previous studies have indicated that the endothelial cell proliferation is quasineoplastic, with evidence of monoclonality and instability of short DNA microsatellite sequences.

objectivesTo assess whether there is larger-scale genomic instability.

methodsWe performed genome-wide microarray copy number analysis on pulmonary artery endothelial cells and smooth muscle cells isolated from the lungs of patients with PAH. MEASUREMENTS AND MAIN

resultsMosaic chromosomal abnormalities were detected in PAEC cultures from five of nine PAH lungs but not in normal (n = 8) or disease control subjects (n = 5). Fluorescent in situ hybridization analysis confirmed the presence of these abnormalities in vivo in two of three cases. One patient harbored a germline mutation of BMPR2, the primary genetic cause of PAH, and somatic loss of chromosome-13, which constitutes a second hit in the same pathway by deleting Smad-8. In two female subjects with mosaic loss of the X chromosome, methylation analysis showed that the active X was deleted. One subject also showed completely skewed X-inactivation in the nondeleted cells, suggesting the pulmonary artery endothelial cell population was clonal before the acquisition of the chromosome abnormality.

conclusionsOur data indicate a high frequency of genetically abnormal subclones within PAH lung vessels and provide the first definitive evidence of a second genetic hit in a patient with a germline BMPR2 mutation. We propose that these chromosome abnormalities may confer a growth advantage and thus contribute to the progression of PAH.

Indexed as

AdultAirway RemodelingBone Morphogenetic Protein Receptors, Type IICell ProliferationChildChromosome AberrationsChromosome DeletionDNA Copy Number VariationsEndothelial CellsFemaleGene RearrangementGenome-Wide Association StudyGenomic InstabilityGerm-Line MutationHumansHypertension, PulmonaryBMPR2 protein, humanBone Morphogenetic Protein Receptors, Type II

Identifiers

PMID20581168
PMCPMC3001257
OpenAlexW2140482521

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.